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CARLOS SPERA MD PA
NPI 1164612289
Clinic/Center - Ambulatory Surgical in Davie, FL

Active since July 25, 2007
12575 ORANGE DR, SUITE 303, DAVIE, FL 33330(954) 577-8585(954) 577-8556 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 26, 2025, Apr 2, 2024 (2 updates tracked since 2024).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About CARLOS SPERA MD PA

This page provides the complete NPI Profile along with additional information for Carlos Spera Md Pa, a provider established in Davie, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1164612289 assigned on July 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 1196 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Carlos E Spera M.d. (President/owner)

NPI
1164612289 Verify this NPI
Provider Name
CARLOS SPERA MD PA
Entity Type
Organization
Location Address
12575 ORANGE DR SUITE 303 DAVIE, FL 33330
Location Phone
(954) 577-8585
Location Fax
(954) 577-8556
Mailing Address
12575 ORANGE DR SUITE 303 DAVIE, FL 33330
Mailing Phone
(954) 577-8585
Mailing Fax
(954) 577-8556
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2007
Last Update Date
02-26-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
1196
License State
FL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CARLOS E SPERA M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(954) 577-8585

Reviews for CARLOS SPERA MD PA

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

EDWARD S. TRUPPMAN M.D., P.A.
Specialist
12575 ORANGE DR, 301
DAVIE, FL 33330
Broward County (954) 888-1821
DR. CARLOS E SPERA M.D.
Surgery (Plastic and Reconstructive Surgery)
12575 ORANGE DR, SUITE 303
DAVIE, FL 33330
Broward County (954) 577-8585

Frequently Asked Questions

What is CARLOS SPERA MD PA's NPI number?

The NPI number assigned to this healthcare provider is 1164612289, enumerated as an "organization" on July 25, 2007.

Where is the provider located?

The provider is located at 12575 ORANGE DR SUITE 303 DAVIE, FL 33330 and the phone number is (954) 577-8585.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.